Gastroenterology

Endoscopic Ampulectomy

MINIMAL ACCESS ENDOSCOPIC AMPULECTOMY MEDICAL PROGRAM

The tumors of the ampulla of Vater denominate ampulomas, and can originate on any of the three epithelia, duodenal, pancreatic and biliary that delimit the papilla.
These tumors have a special clinical relevance, so it is essential to make an early diagnosis and correct treatment. The clinical symptomatology of these tumors is nonspecific, and is not always evident.
The curative treatment of these tumors can be endoscopic or surgical. For patients not subject to curative treatment, a palliative endoscopic drainage treatment is chosen.
The management of periampullary, malignant or benign tumors has been radical surgery. However, the great complexity of these procedures, their complications and their high mortality rate led to the development of new minimally invasive surgical techniques.
Endoscopic ampullectomy consists in the resection of the papilla of Váter for the treatment of these lesions for diagnostic and therapeutic purposes
Medical Program
Hospitalization (3 days)
hospitalization in a private room  (nursing care and meals included)
Inpatient medical care. (medical round visit)
Initial evaluation and preparation of clinical history
Other medical checkups by specialists
Anesthesiology
Gastrenterology
Re-checkup by  specialist.
Basic preoperative investigations
Minimum coagulogram
Erythrosedimentation
Complete Hemogram
Creatinine
Glicemia
Blood group ABO and RH
Serology (VDRL)
Test. Antibodies against HIV-1/2
Alkaline Phosphatase
GammaglutamylTransferrase
TGP
TGO
Total and Direct Biliburrubinas
Chest x-ray
Electrocardiogram
Imaging Investigations
Ultrasound of the liver and bile ducts
Pathological Anatomy Research
Diagnostic biopsy of surgical piece
Gastroenterological Investigations
Endoscopic retrograde cholangiopancreatography (ERCP)
Endoscopy. General anesthesia
Endoscopic ampulectomy.
Medical report conclusions and recommendations
Note: Accommodation for the patient's companion: 40.00 CUC per day (meals included).
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery.
The Institute of Surgery for Minimum Access of Cuba, offers the possibility of Endoscopic Ampulectomy surgery. Minimally invasive surgery
 
TREATMENTS RELATED TO MINIMUM ACCESS SURGERIES
Unilateral Inguinal Hernioplasty
Nasal Polypectomy.
Resection of Hypofisiary Tumor
Laparoscopic Hysterectomy.
Resection of Transuretal Prostate
ERCP + Removal of Lithiasis from Pancreas
See more
Endoscopic Ampulectomy
Minimal Access Surgery
Applicant
Patient
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